IndividualActive
Gonzalo Ortiz
NPI 1740713643 · Retina Specialist (Ophthalmology) Physician · Port Orange, FL
Provider details
- NPI number
- 1740713643
- Entity type
- Individual
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- ME148138 (FL)
Practice location
741 Dunlawton Ave
Port Orange, FL 32127-9226
Phone: (800) 255-7188
Fax: (407) 423-9040
Mailing address
3824 Oakwater Cir
Orlando, FL 32806-6263
Registry dates
- Enumerated
- 2017-04-06
- Last updated
- 2025-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.